Jan L Wilkenson, L.P.C.C., N.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0013848 Issued in CO

Practice address

Heart Matters Counseling Center
13550 Northgate Estates Drive, #200
Colorado Springs, CO 80921

Phone

(719) 464-4771

NPI assigned

Aug 2, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Play 4 Healing PLLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1588279699
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1174076582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 DATE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174907",
            "telephone_number": "719-464-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEART MATTERS COUNSELING CENTER",
            "address_2": "13550 NORTHGATE ESTATES DRIVE, #200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "719-464-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENSON",
        "first_name": "JAN",
        "middle_name": "L",
        "credential": "L.P.C.C., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0013848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR CANDIDATE",
            "identifier": "0013848",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kania Wiley
• Michael G Wiley, DDS, MS
• Rita Kay Wiley, LPC
• Michael Joshua Wilhelm, MD
• Gregory L Wilhelms, PT
• Rachel Ann Wilkenson, MD
• Barbara Louise Wilker, RDH
• Courney Wilkerson
• Derick Anthony Wilkerson, PHARMD
• Vanessa Wilkerson

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.